Orthopedic Billing Services

Orthopedic Billing Services

Custom-tailored to match your organization's unique needs. 

Orthopedics is a complex specialty dealing with disorders and injuries of the musculoskeletal system. Achieving maximum reimbursement for orthopedic services requires a deep understanding of orthopedic procedures and corresponding terminology, CPT and ICD-11 codes, and modifiers. Due to complexities and frequent CPT changes, coding errors are common within this specialty and can lead to denied claims or reduced reimbursement.

Outsourcing orthopedic medical billing to Global Healthcare Resource removes the burden of accurately coding complex procedures. We have over 25 years of experience helping healthcare organizations in nearly every specialty streamline the billing process and obtain the highest reimbursement for their services. 

Challenges in Orthopedic Billing and Coding

Common challenges in orthopedic billing and coding include:

• Unbundling errors: Unbundling is the act of coding for multiple components of a procedure separately when there's a single code available for the whole procedure. Unbundling can lead to denied claims or impact reimbursement.
• Inaccurate documentation: Orthopedic physicians and staff must clearly and accurately record the services provided and submit this information to insurers, along with supporting documentation, to prove medical necessity. Documentation errors can delay reimbursement.
• Assigning correct codes: Orthopedics encompasses a range of complex procedures and services. Coding and billing staff must thoroughly understand anatomy and procedural terminology to assign the correct codes. 

Services We Provide for Orthopedic Facilities or Group Practices 

At Global Healthcare Resource, you can count on our billing, coding, and call center professionals to understand the nuances of orthopedic billing and meet your practice's needs with our comprehensive, tailored revenue cycle management services. We can also analyze front, middle, and back-end processes to identify issues affecting reimbursement.

Orthopedic Revenue Cycle Management

To support your needs and simplify your orthopedic revenue cycle management, we offer several solutions, such as: 

• Benefit Verification
• Charge Entry & Claims Submission
• Coding & Documentation Review
• Payment Posting
• Patient Demographic
• Accounts Receivable
• Denial Management

Orthopedic Call Center Outsourcing

We also provide orthopedic call center outsourcing services, which include: 

• Patient A/R: To help streamline patients accounts receivable (A/R), we have a team ready to receive inbound and outbound calls and educate patients on any remaining balances and process payments. They can also assist with discussing various payment plans and processing the payments. 
• Clinical surveys: Our clinical surveys ensure patients are contacted within 48 hours after they've been discharged. These follow-up calls play a key role in helping better understand each patient's experience and identifying any recovery complications. This helps improve patient satisfaction and reduce hospital readmissions.

Benefits of Outsourcing Billing and Coding With Global Healthcare Resource 

Global Healthcare Resource is ready to operate as an extension of your team. With more than 6,000 HIPAA-compliant coders, billing professionals, and call center agents, we have the capability to provide full-service healthcare solutions to meet your unique business needs and maximize your return. 

You will also be able to take advantage of benefits such as:

• Trained, talent-rich team: All employees undergo our rigorous internal training program, Global Academy, to prepare for the complexities of orthopedic billing.
• Compliant coders: Our coders stay current on CPT, HCPCS, ICD-11, and CMS changes, ensuring compliance with coding guidelines. For example, our billing and coding experts are informed of the new and revised vertebral body tethering codes.
• Custom orthopedic coding: Our coders have experience coding complex orthopedic procedures, including chondroplasty procedures, sacroiliac joint injections, and hardware removals. We'll ensure the specific services and procedures you provide are coded accurately and with utmost attention to detail.
• Cost-effective solutions: Outsourcing with Global allows you to reinvest your time and money into your business while improving productivity. 

Get Started Today!

Our team is your team, and we can help you get started today. Fill out our contact form to request orthopedic billing services.